Active NPI
Elieen Z Good, MWF
- Advanced Practice Midwife
- Chicago, IL
National Provider Identifier
1619053402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 4259 S Berkeley Ave
Chicago, IL 60653-3030 - Phone
- (773) 268-7600
- Fax
- (773) 268-9088
- NPI assigned
- Oct 27, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | IL | Primary |
Addresses
Primary practice location
4259 S Berkeley Ave
Chicago, IL 60653-3030
Mailing address
1276 N Clybourn
Chicago, IL 60610
Phone (312) 337-1073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-003023 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Memorial Physicians Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NMPG
- Internal Medicine Physician
- Chicago, IL
- NPI 1538111299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619053402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 N CLYBOURN",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60610",
"telephone_number": "312-337-1073",
"fax_number": "312-337-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4259 S BERKELEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606533030",
"telephone_number": "773-268-7600",
"fax_number": "773-268-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "ELIEEN",
"middle_name": "Z",
"credential": "MWF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Good Samaritan Community Services
- Good Shepherd Healthcare LLC
- Good to Go Inc
- Good Wolf Wellness PLLC (Good Wolf Sports Psychiatry)
- Andrea Nicole Good, MSW, LCSW
- Heather Lanette Good, MA
- Jessica Lynn Good, LCSW
- Nicole Marie Good, RN, HWNC-BC
- Hailee Goodale, RDN, LDN
- Wendy Carolyn Goodall McDonald, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.